title: Rural women, technology, and self-management of chronic illness.
abstract: The objective of this study was to determine the differences in the psychosocial status of 3 groups of chronically ill rural women participating in a computer intervention. The 3 groups were: intense intervention, less-intense intervention, and control. At baseline and following the intervention, measures were taken for social support, self-esteem, empowerment, self-efficacy, depression, stress, and loneliness. ANCOVA results showed group differences for social support and self-efficacy among the overall group. The findings differed for a vulnerable subgroup, with significant between-group differences for social support and loneliness. It was concluded that a computer-delivered intervention can improve social support and self-efficacy and reduce loneliness in rural women, enhancing their ability to self-manage and adapt to chronic illness.
authors.affiliation: College of Nursing, Montana State University, Bozeman, USA. weinert@montana.edu
authors.forename: Clarann
authors.initials: C
authors.lastname: Weinert
authors.forename: Shirley
authors.initials: S
authors.lastname: Cudney
authors.forename: Wade G
authors.initials: WG
authors.lastname: Hill
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001294:Attitude to Health; D002908:Chronic Disease / Q000517:prevention & control / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D020407:Internet / Q000458:organization & administration*; D008132:Loneliness; D008875:Middle Aged; D009658:North Dakota; D015205:Northwestern United States; D009722:Nurse Practitioners / Q000458:organization & administration; D015404:Nursing Methodology Research; D010353:Patient Education as Topic / Q000458:organization & administration; D011209:Power, Psychological; D036301:Qualitative Research; D012424:Rural Population; D012648:Self Care / Q000379:methods / Q000523:psychology; D012649:Self Concept; D020377:Self Efficacy; D012657:Self-Help Groups / Q000458:organization & administration*; D012944:Social Support; D013023:South Dakota; D011795:Surveys and Questionnaires; D055817:Telenursing / Q000458:organization & administration; D014930:Women / Q000193:education / Q000523:psychology